Black, Randall Carl

Black, Randall Carl is an sole proprietor health care provider with primary practice located at 1610 Calico Canyon Ln , Pearland TX 77581-5574. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Black, Randall Carl can be contacted via phone (281) 450-7724.

Contact Information

Primary practice address
1610 Calico Canyon Ln Pearland TX 77581-5574
Phone: (281) 450-7724
Fax: (866) 642-6202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S23276 Texas
Other Service Providers / Case Manager/Care Coordinator 171M00000X 23276 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X S23276 Texas

Profile Details

NPI number 1043322068
LBN Legal business name Black, Randall Carl
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Mar 7th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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